Active NPI
Lacey J Pierson, R.D
- Registered Dietitian
- Berlin, MD
National Provider Identifier
1740463082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX2774
- Practice address
- 9733 Healthway Dr
Berlin, MD 21811-1155 - Phone
- (410) 641-9773
- Fax
- (410) 641-9712
- NPI assigned
- Dec 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DX2774 | MD | Primary |
Addresses
Primary practice location
9733 Healthway Dr
Berlin, MD 21811-1155
Mailing address
206 Spring Dr
Easton, MD 21601-3838
Phone (410) 820-9734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX2774 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1740463082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 SPRING DR",
"city": "EASTON",
"state": "MD",
"postal_code": "216013838",
"telephone_number": "410-820-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9733 HEALTHWAY DR",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111155",
"telephone_number": "410-641-9773",
"fax_number": "410-641-9712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "LACEY",
"middle_name": "J",
"name_prefix": "Miss",
"credential": "R.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-10",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX2774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.